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SAN JUAQUIIN GUUINI Y <br /> ENVIRONF,IENTAL HEALTH DEPARTNW Page 1 <br /> 304 � WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0026733 <br /> Facility ID FA0015491 <br /> Date Printed 1/30/2006 <br /> PROFLEET TRUCK LUBE RE : PROFLEET TRUCK LUBE <br /> 15453 N THORNTON RD 15453 N THORNTON RD <br /> LODI, CA 95242 LODI, CA 95242 <br /> OWNER : GILLIN, PAIGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144562---Date of Invoice: 1/27/2006 111 11111 11111 11111 IIN 11111 11111 11111 11111 IEI IN IIIIII 11111 1111 IN <br /> 1/27/2006 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice I $ 389.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 389.00 <br /> REPAY <br /> FEB 0 3 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />